Erleben und Verarbeitung von Hauterkrankungen aus psychosomatischer Sicht

Author(s): Zschocke, I.

Abstract: Patients with skin diseases as well as their environment experience their affections in an exceptionally direct way. Compared to diseases of internal organs, visible signals, distance and proximity as well as the feeling of being rejected or accepted, play a more central role for the patient. They do not only affect the process of coping with the disease but they also influence the relationship of the patient with the therapist and the medical personnel.Based on a particular disposition, skin diseases are caused by a combination of somatic and psychological, internal and external influences. The proportion of these factors variates interindividually. E. g., in some patients, somatic triggers, like regulatory disturbances or inflammatory processes predominate whereas in other patients, the patient's psychological background or acute stress are crucial. The task of a physician treating such a person, is to recognize the different influences involved and to consider the plurality of causes during therapy. In the field of empiric therapies (Erfahrungsheilkunde), treatments show somato-psychological as well as psycho-somatic effects - if performed correctly. Thus in many cases they fill an important therapeutical gap between skin and psyche. If these dermatological treatments are not sufficient, special psychosomatic and psychotherapeutical interventions are required.

Keyword(s): Hauterkrankungen

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